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Fill out the form below so that we can get to know you! When you click submit, you'll be taken to my calendar where you can book your complimentary 20 minute discovery call.

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Full Name

Age

Phone Number

Occupation

How did you hear about us? If a specific person, please list their first and last name.

What are your top 3 health concerns?

How have these health challenges impacted your daily life, emotions, and relationships?

What steps have you already taken to improve your health or relieve symptoms? Have they helped you?

In the next 3-6 months, what specific changes or outcomes are you hoping to achieve in your health journey?

When we achieve your health goals, how will this change your life?

Our 1:1 programs require a minimum investment of four figures and a commitment of at least 1 hour per week. Are you prepared to make this investment in your health and fertility journey?

Yes, I am ready to invest in my health and future.

Maybe, I need more clarity on how this will help me.

No, I am not prepared to make this commitment at this time.

APPLY TO WORK WITH DR. TRISHA

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